Splenic tuberculosis presenting as hypersplenism

A 9-year-old girl with a 5-6-month history of abdominal distension and feve r was found to have massive splenomegaly with features of hypersplenism. Ap art from a strongly positive Mantoux test, all investigations for massive s plenomegaly proved negative. Splenectomy was carried out and histopathologi cal examination of the spleen revealed granulomatous lesions suggestive of tuberculosis. The child improved after splenectomy and anti-tuberculous the rapy and is doing well on follow-up. Splenic tuberculosis should be conside red as an unusual cause of massive splenomegaly and hypersplenism.